Strengthening of Health Locus of Control could Increase the Independence of Post Stroke Patients in Implementing the Daily Activities at Home

Abstract

According to the data released by the Ministry of Health of Indonesia in 2009 shown that stroke was reported as the first number cause of death in patients who's hospitalized and it placed the eleventh rank of the most diseases in outpatient wards. Strokes often cause a lot of problems, especially interferes in the functioning of the body movement then prequently lead to disability, dependence on the other and inability to carry out daily activities. It is not only the healing process that takes time but also stroke treatment and rehabilitation does too gradually it leads to boredom and frustration. Furthermore, if the patient want to return to their productive phase they have to be confidence to have a self-control of their health problems (health locus of control) so that their level of independence in carrying out their daily activities can be improved. This study is aimed to determine the effect of strengthening health locus of control to the independence of post stroke patients in carrying out daily activities at home. The research method used a quasi-experimental with pre and post test without control design, and used the 31 poststroke patients who are undergoing treatment at the Polyclinic stroke of Al Islam Hospital Bandung, Indonesia, as sample. The samples were taken by purposive sampling technique. Data analysis consisted of univariate analysis using the mean score and standard deviation as well as bivariate analysis using t-test dependent. Based on the analysis obtained that the strengthening of the Health locus of control influence was highly effectively to increase the independence of post stroke patients in carrying out his daily activities, so the nurse suggested that the strengthening health locus of control should be continued to be implemented to the post-stroke patients to continue treatment at home in order to increase their independence.

Subjective Stroke Impact and Depressive Symptoms: Indications for a Moderating Role of Health-Related Locus of Control

“…externality, were associated with more depressive symptoms (13)(14)(15). The interaction of external health-related locus of control and subjective stroke impact in the present sample, is indirectly in accord with previous findings that reported higher beliefs in personal control over recovery after stroke predict more functional recovery (7,25). One possible explanation for patients having fewer depressive symptoms while perceiving severe stroke impact in combination with high external health-related locus of control in this sample might be a kind of protective mechanism that allows more acceptance of severe stroke impact due to lower perceptions of one's own control.…”

Pengaruh Pelatihan Range of Motion (ROM) pada CareGiver terhadap Kemandirian Activity Of Daily Living Pasien Pasca Stroke

“…Beberapa penelitian telah membuktikan tentang pengaruh latihan terhadap peningkatan kekuatan otot klien stroke. Penelitian yang dilakukan Smallfield and Karges (23) tentang intervensi yang sering dilakukan dalam pemulihan klien pasca stroke menyatakan bahwa intervensi ROM masih sering digunakan dan dianggap efektif dalam meningkatkan tingkat kemandirian klien dalam melakukan aktifitas fisik, hal ini didukung oleh hasil penelitian yang dilakukan Hamzah and Sugiyanto (24) dimana terjadi pengaruh yang signifikan dari kemandirian klien pasca stroke dalam melaksanakan kegiatan sehari-hari dimana terjadi perbedaan nilai sebelum dan sesudah intervensi sebesar 16,13 sedangkan penelitian yang dilakukan Mayo, MacKay-Lyons (25) menyatakan terdapat peningkatan kemampuan klien dalam mempertahankan kapasitas berjalan setelah menjalani latihan selama 12 bulan dengan nilai p = 0,02.…”

Umiestnenie kontroly vo vzťahu ku zdraviu, adherencia k liečbe a sociálna opora pri rekonvalescencii pacientov po prekonaní cievnej mozgovej príhody

“…Výskum umiestnenia kontroly bol realizovaný v rôznych oblastiach zdravia, ktoré úzko súvisia s výskytom KVO napríklad: v súvislosti s obezitou (Ali & Lindström, 2006), vysokým krvným tlakom (Gale et al, 2008), fyzickou aktivitou, fajčením (Kim, 2011;Steptoe & Wardle, 2001) priamo s cievnou mozgovou príhodou (Zirk & Storm, 2019;Hamzah & Sugiyanto, 2014) rekonvalescenciou po prekonaní CMP (Zulkifly et al, 2015;Rapoliené et al, 2018), hypertenziou (Taher et al, 2015;Omeje & Nebo, 2011) adherencie -dodržiavaním odporúčanej liečby lekára (Moreira, 2016;Nakamoto, Schulz & Náfrádí, 2017). Výsledky prinášajú zmiešané údaje aj v oblasti prevencie, aj v oblasti efektivity rekonvalescencie vzhľadom na konštrukt umiestnenia kontroly vo vzťahu k zdraviu.…”

“…V súčasnosti existuje prevaha štúdií, ktorá dokazuje že Internalizmus je práve faktorom ako preventívnym, tak faktorom úspešnej liečby a rekonvalescencie po vypuknutí ochorenia (Ali & Lindström, 2006). Potvrdenie tohto smeru bolo, v súvislosti s vysokým krvným tlakom (Gale et al, 2008), fyzickou aktivitou, fajčením (Kim, 2011, Steptoe & Wardle, 2001, cievnou mozgovou príhodou (Zirk & Storm, 2019, Hamzah & Sugiyanto, 2014 rekonvalescenciou po prekonaní CMP (Zulkifly et al, 2015;Rapoliené et al, 2018), hypertenziou (Taher et al, 2015;Omeje & Nebo, 2011) dodržiavaním odporúčanej liečby lekára (Moreira et al, 2016;Nakamoto, Schulz & Na, 2017).…”